Individual provider · Type 1 NPI
Maryanne Deforest Phillips, MD
Specialist · Las Vegas, NV
NPI number
1780698456
Active
Practice location
5052 Jones Blvd, 135
Las Vegas, NV 89118
Fax (702) 822-1880
Mailing address
10620 Southern Highlands Pkwy, 110-250
Las Vegas, NV 89141-4369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 7635 (NV) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780698456
Maryanne Deforest Phillips, MD's National Provider Identifier is 1780698456, issued on Jul 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 13, 2012.